| NPI | 1912053406 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 86006567) | 
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 86006567) | 
| 171M00000X Case Manager/Care Coordinator (Licence: OR 086006567RN) | |
| Enumeration Date | 2007-01-26 | 
| Last Update Date | 2008-01-08 |